View at Google Scholar J. A long-handled Deschamps ligature carrier preloaded with absorbable suture is used to pierce the sacrospinous ligament medially to the ischial spine. But it was pretty great. The strangest part about the whole thing for me was how I was maybe… overly sensitive about him being trans at first. At the base of the pedicle, a small incision is made to transpose the urethral flap [ 26 ]. Sex seems to work best as a tender, sensual affair with lots of nipple stimulation.